Ending unexpected drug toxicity.

Axiom is building the translational intelligence layer for scientists, using AI to connect lab experiments to human drug outcomes and help scientists develop safer medicines.

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Clinical Risk Assessments

Clinical card

Axiom delivers comprehensive clinical risk assessments grounded in AI-powered mechanistic reasoning, helping scientists reduce unexpected toxicity risk earlier in development.

Axiom’s agents reason over experimental data to predict and explain human drug outcomes

Tolebrutinib
Tolebrutinib

This compound shows strong evidence of bile transport disruption and mitochondrial toxicity, combined with very early ER stress signals in hepatocytes. The phenotypic neighbors from the multicellular system include multiple compounds with Black Box Warnings and market withdrawals for severe hepatotoxicity, including pexidartinib (liver transplant), troglitazone (fatal liver injury, withdrawn), and nefazodone (withdrawn). While direct hepatocyte neighbors show a cleaner profile, the convergence of active experimental signals, high transporter inhibition predictions, and clinical precedent from structurally similar compounds supports a high mechanistic risk assessment.

19 evidence cited 12 corroborating compounds 15 mechanisms assessed
Mechanistic Overview
Cellular organism seen at a miscroscope
Data

Massive Human-Relevant Dataset

We have built one of the world’s largest experimental-to-clinical datasets linking human-relevant experimental biology to real human clinical outcomes. For thousands of clinical molecules, we measure the full drug life cycle from exposure and metabolism to cellular biology and human clinical outcomes.

Cellular organism seen at a miscroscope
Signals

Translating Early Risk Signals to Human Outcomes

We detect early cellular signals of toxicity that traditional assays miss. By modeling subtle changes in human cell structure and function, like early ER stress and mitochondrial dysfunction, we can flag risk before it’s too late.

Research

Learn more about our work

Understand drug toxicity before it reaches humans.